ATI PN Pharmacology Proctored Exam Review And Correct
Answers.
Patient identifiers - -Medical record number
-home telephone number
What lab values should a nurse monitor for a patient with chronic renal failure? - ■ Urinalysis
☐ Hematuria, proteinuria, and alterations in specific gravity
☐ Serum creatinine
- Gradual increase of 1 to 2 mg/dL per every 24 to 48 hr for acute renal
failure (ARF)
- Gradual increase over months to years for chronic renal failure (CRF)
exceeding 4 mg/dL
■ Blood urea nitrogen (BUN)
- 80 to 100 mg/dL within 1 week with ARF
- Gradual increase with elevated serum creatinine over months to years for
CRF
- 180-200 mg/dL with (CRF)
■ Serum electrolytes
- Decreased sodium (dilutional) and calcium, increased potassium,
phosphorus, and magnesium
■ Complete blood count (CBC)
- Decreased hemoglobin
,What food should you increase when taking Lasix? - -increased amounts of potassium-rich
foods (e.g., bananas, prunes, raisins, and orange juice)
Patient reports IV discomfort, what is your first action? - color and temperature
Sumatriptan (treats migraine headaches) adverse effect - pain, tightness, pressure, or
heaviness in the chest, throat, neck, and/or jaw
slow or difficult speech
Know about Transdermal patch - -• Apply at the same time once each day,
preferably in the morning. Keep patch on
for 12 to 14 hr each day.
• Remove the patch at night to reduce
the risk of developing tolerance to
nitroglycerin. Be medication-free a
minimum of 10 to 12 hr each day (usually
at night).
• Do not cut patches to ensure appropriate
dosage.
• Place the patch on a hairless area of skin
(chest, back, or abdomen) and rotate sites
to prevent skin irritation.
• Wash skin with soap and water and dry
thoroughly before applying new patch.
,RBC Blood transfusion -
http://www.atitesting.com/ati_next_gen/FocusedReview/data/datacontext/RM%20AMS%20R
N%208.0%20Chp%2044.pdf (prime with normal saline and infuse with sodium chloride).
What to understand about Parkinson's Meds? - -they don't cure disease, they slow the
process.
NEUPOGEN (filgrastim)-what is the appropriate route of this med? - administered by
subcutaneous injection or IV infusion
Lisinopril therapeutic effect - blood pressure answer (e.g. 120/80)
Medication for Schizophrenia - risperidone, Risperdal
Macrodantin medication - used to treat or prevent certain urinary tract infections
Haldol-inform if you are taking ____________ medication. - -benzodiazepine class of anti-
anxiety drugs (all ending with "pam") and even, Xanax.
Fosomax - same as-Alendronate is used for treating osteoporosis in men and
postmenopausal women.
Lipitor - -lowers cholesterol in blood, "statins". Reduce LDL and total cholesterol. Raise HDL.
Garamycin- - Antibiotic that is toxic to the kidney, injected for radiology studies.
Digoxin side effects - -Fatigue
-Bradycardia
, -Anorexia
-Nausea/Vomiting
Singulair - used before exercise to prevent breathing problems during exercise
(bronchospasm).
What medication to administer with Tylenol overdose? - acetylcysteine (Mucomyst) must be
given IV
HPV vaccine - Human Papilloma Virus (HPV2, HPV4) - -Three doses should be given over a
6 month
-interval for females at 11 to 12 years of age (minimum age is 9 years).
-The second dose should be administered 2 months after the first dose, and the third dose
should be administered 6 months after the first dose.
-HPV4 may be given to males starting at age 9 years of age.
Opioid toxicity-what to check first - oxygen saturation
Valporic Acid lab - liver
Lithium report immediately - slurred speech
Prednisone report - sore throat
Food to avoid when taking Lithium - -salty foods
-alcoholic beverages
Answers.
Patient identifiers - -Medical record number
-home telephone number
What lab values should a nurse monitor for a patient with chronic renal failure? - ■ Urinalysis
☐ Hematuria, proteinuria, and alterations in specific gravity
☐ Serum creatinine
- Gradual increase of 1 to 2 mg/dL per every 24 to 48 hr for acute renal
failure (ARF)
- Gradual increase over months to years for chronic renal failure (CRF)
exceeding 4 mg/dL
■ Blood urea nitrogen (BUN)
- 80 to 100 mg/dL within 1 week with ARF
- Gradual increase with elevated serum creatinine over months to years for
CRF
- 180-200 mg/dL with (CRF)
■ Serum electrolytes
- Decreased sodium (dilutional) and calcium, increased potassium,
phosphorus, and magnesium
■ Complete blood count (CBC)
- Decreased hemoglobin
,What food should you increase when taking Lasix? - -increased amounts of potassium-rich
foods (e.g., bananas, prunes, raisins, and orange juice)
Patient reports IV discomfort, what is your first action? - color and temperature
Sumatriptan (treats migraine headaches) adverse effect - pain, tightness, pressure, or
heaviness in the chest, throat, neck, and/or jaw
slow or difficult speech
Know about Transdermal patch - -• Apply at the same time once each day,
preferably in the morning. Keep patch on
for 12 to 14 hr each day.
• Remove the patch at night to reduce
the risk of developing tolerance to
nitroglycerin. Be medication-free a
minimum of 10 to 12 hr each day (usually
at night).
• Do not cut patches to ensure appropriate
dosage.
• Place the patch on a hairless area of skin
(chest, back, or abdomen) and rotate sites
to prevent skin irritation.
• Wash skin with soap and water and dry
thoroughly before applying new patch.
,RBC Blood transfusion -
http://www.atitesting.com/ati_next_gen/FocusedReview/data/datacontext/RM%20AMS%20R
N%208.0%20Chp%2044.pdf (prime with normal saline and infuse with sodium chloride).
What to understand about Parkinson's Meds? - -they don't cure disease, they slow the
process.
NEUPOGEN (filgrastim)-what is the appropriate route of this med? - administered by
subcutaneous injection or IV infusion
Lisinopril therapeutic effect - blood pressure answer (e.g. 120/80)
Medication for Schizophrenia - risperidone, Risperdal
Macrodantin medication - used to treat or prevent certain urinary tract infections
Haldol-inform if you are taking ____________ medication. - -benzodiazepine class of anti-
anxiety drugs (all ending with "pam") and even, Xanax.
Fosomax - same as-Alendronate is used for treating osteoporosis in men and
postmenopausal women.
Lipitor - -lowers cholesterol in blood, "statins". Reduce LDL and total cholesterol. Raise HDL.
Garamycin- - Antibiotic that is toxic to the kidney, injected for radiology studies.
Digoxin side effects - -Fatigue
-Bradycardia
, -Anorexia
-Nausea/Vomiting
Singulair - used before exercise to prevent breathing problems during exercise
(bronchospasm).
What medication to administer with Tylenol overdose? - acetylcysteine (Mucomyst) must be
given IV
HPV vaccine - Human Papilloma Virus (HPV2, HPV4) - -Three doses should be given over a
6 month
-interval for females at 11 to 12 years of age (minimum age is 9 years).
-The second dose should be administered 2 months after the first dose, and the third dose
should be administered 6 months after the first dose.
-HPV4 may be given to males starting at age 9 years of age.
Opioid toxicity-what to check first - oxygen saturation
Valporic Acid lab - liver
Lithium report immediately - slurred speech
Prednisone report - sore throat
Food to avoid when taking Lithium - -salty foods
-alcoholic beverages
